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Visit

Encounter for problem

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$93.39
base $93.39 · payer covered $43.39

The visit

Class
Ambulatory
Code
185347001
Reason
diagnosis concept Injury of tendon of the rotator cuff of shoulder307731004
Start
2019-02-18
Stop
2019-02-18

The parties

Patient
patient Ashton Hisako Jaskolski
Provider
provider Altagracia Rippin
Care site
care site NORTH MEMORIAL HEALTH CARE
Payer
payer Medicaid
Record id 2b9209bc-5607-5ae5-1cca-5dd4aa09a66c